Individual provider · Type 1 NPI
Kate Joanna Randolph, PA
Medical Physician Assistant · Sullivan, MO
NPI number
1033939749
Active
Practice location
751 Sappington Bridge Rd, Dept Radiology
Sullivan, MO 63080-2354
Fax (314) 653-5832
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 2025000294 (MO) |
Medical Physician Assistant: Definition to come...
30 other providers at this address
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- Missouri Baptist Hospital of SullivanPsychiatric Hospital Unit Sullivan, MO NPI 1497763361
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- Parkway Pathology GroupAnatomic Pathology & Clinical Pathology Physician Sullivan, MO NPI 1750580510
- Amanda Marie Czarnecki, PA-C, MMSPhysician Assistant Sullivan, MO NPI 1669646808
About NPI 1033939749
Kate Joanna Randolph, PA's National Provider Identifier is 1033939749, issued on Oct 16, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sullivan, MO. The record was last updated on Nov 3, 2025.